Rapid Development of an Inactivated Vaccine Candidate for COVID-19

Rapid Development of an Inactivated Vaccine Candidate for COVID-19

The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome–coronavirus 2 (SARS-CoV-2) has resulted in an unprecedented public health crisis. There are currently no SARS-CoV-2-specific... read more

On the Front Lines in Fight Against COVID-19

On the Front Lines in Fight Against COVID-19

As a worldwide pandemic washes over the St. Louis region, the Washington University Medical Campus is eerily quiet. Most visitors, students, staff and research faculty are no longer on campus. Limited patients come to its... read more

COVID-19 Patients with Respiratory Failure: What Can We Learn From Aviation Medicine?

COVID-19 Patients with Respiratory Failure: What Can We Learn From Aviation Medicine?

Patients with COVID-19 may present to hospitals and emergency medical services with an atypical form of acute respiratory distress syndrome (ARDS). Although anecdotal, a common clinical pattern has emerged, with a remarkable... read more

Trying Not to Intubate Early & Why ARDSnet may be the Wrong Ventilator Paradigm

Trying Not to Intubate Early & Why ARDSnet may be the Wrong Ventilator Paradigm

Many of us have been working under the paradigm that COVID-19 PNA eventually develops into ARDS in the sickest patients. It appears to me that these patients don’t fit into this paradigm. Many have normal to high compliance... read more

Management of COVID-19 Respiratory Distress

Management of COVID-19 Respiratory Distress

Acute respiratory distress syndrome (ARDS) can originate from either the gas or vascular side of the alveolus. Although the portal for coronavirus disease 2019 (COVID-19) is inhalational, and alveolar infiltrates are commonly... read more

COVID-19 Pneumonia: ARDS or Not?

COVID-19 Pneumonia: ARDS or Not?

Even though it can meet the ARDS Berlin definition, the COVID-19 pneumonia is a specific disease with peculiar phenotypes. Its main characteristic is the dissociation between the severity of the hypoxemia and the maintenance... read more

Pediatric Airway Management in COVID-19 Patients

Pediatric Airway Management in COVID-19 Patients

The severe acute respiratory syndrome coronavirus 2 (COVID-19) pandemic has challenged medical systems and clinicians globally to unforeseen levels. COVID-19's rapid spread has forced clinicians to care for patients with... read more

Is COVID-19 ARDS?

Is COVID-19 ARDS?

Acute respiratory distress syndrome (ARDS) is a heterogeneous disease. It presents with a wide range of severity, varying degrees of hypoxemia and varying degrees of pulmonary mechanical impairment. Failure of hypoxemic vasoconstriction... read more

How COVID-19 Causes ARDS

How COVID-19 Causes ARDS

As the COVID-19 outbreak continues, we're learning more about the disease, what it does to the body and the damage it causes. Although many people with COVID-19 have no symptoms or only mild symptoms, a subset of patients... read more

Risk Factors Associated With ARDS and Death in Patients With COVID-19 Pneumonia in China

Risk Factors Associated With ARDS and Death in Patients With COVID-19 Pneumonia in China

Older age was associated with greater risk of development of Acute Respiratory Distress Syndrome (ARDS) and death likely owing to less rigorous immune response. Although high fever was associated with the development of ARDS,... read more

Plasma Transfusion Shows Promise for COVID-19 Treatment

Plasma Transfusion Shows Promise for COVID-19 Treatment

Donor blood plasma from people who have recovered from COVID-19 appears to work as a treatment for the virus, a new analysis has revealed. In this preliminary uncontrolled case series of 5 critically ill patients with... read more

Clinical Utility and Technique for Lung Ultrasound in COVID-19 Cases

Clinical Utility and Technique for Lung Ultrasound in COVID-19 Cases

Since the outbreak of a novel coronavirus in Wuhan in December 2019 and its subsequent evolution to a pandemic in March 2020, there has been growing interest in the utility of lung ultrasound in the workup and management... read more

Focus on Clinical Trial Interpretation

Focus on Clinical Trial Interpretation

In a recently published meta-epidemiological study of 604 randomised clinical trials (RCTs) published between 1977 and 2018 from 53 Cochrane systematic reviews in critical care, less than 7% of the RCTs had overall low risk... read more

Lung Ultrasonography Features of COVID-19 Pneumonia

Lung Ultrasonography Features of COVID-19 Pneumonia

As lung abnormalities may develop before clinical manifestations and nucleic acid detection, experts have recommended early chest computerized tomography (CT) for screening suspected patients. The high contagiousness... read more